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Slug inhibition upregulates radiation-induced PUMA activity leading to apoptosis in cholangiocarcinomas
Kejun Zhang1, Bingyuan Zhang, Yun Lu
1Department of General Surgery, The Affiliated Hospital of Medical College, QingDao University, 266003 QingDao, Shan Dong Province, People's Republic of China. wlsdermyy@163.com
Abstract:
Resistance of cholangiocarcinoma to irradiation therapy is a major problem in cancer treatment. Slug, a snail family transcription factor, is a suppressor of PUMA (p53 upregulated modulator of apoptosis), which has been shown to be involved in the control of apoptosis. In this study, we investigated whether the modulation of Slug expression, using adeno-associated-virus-mediated transfer of siRNA targeting Slug gene (rAAV2-Slug siRNA), affects cholangiocarcinoma sensitivity to radiation. In the present study, we used rAAV2-Slug siRNA to downregulate the expression of Slug in QBC939 cholangiocarcinoma cell lines in vitro before γ-irradiation. In vivo studies were done with orthotopic cholangiocarcinoma, and radiosensitivity was evaluated both in vitro and in vivo. rAAV2-Slug siRNA transfection resulted in downregulation of the levels of Slug in QBC939 cells. In addition, rAAV2-Slug siRNA, in combination with radiation, increased levels of the PUMA, which contributes to the radiosensitivity of cholangiocarcinomas. Finally, treatment with rAAV2-Slug siRNA plus γ-irradiation completely regressed tumor growth in orthotopic cholangiocarcinomas model. In summary, integrating gene therapy with radiotherapy could have a synergistic effect, thereby improving the survival of patients with cholangiocarcinomas.
Insights
Gene therapy targeting Slug can enhance cholangiocarcinoma radiosensitivity. Combining Slug siRNA with radiation therapy led to complete tumor regression in preclinical models, improving patient survival.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Gene Therapy
Background:
- Cholangiocarcinoma (CCA) exhibits resistance to radiation therapy, a significant clinical challenge.
- Slug, a transcription factor, suppresses PUMA (p53 upregulated modulator of apoptosis), a key regulator of apoptosis.
- Targeting Slug offers a potential strategy to overcome radioresistance in CCA.
Purpose of the Study:
- To investigate the efficacy of adeno-associated-virus-mediated transfer of siRNA targeting Slug (rAAV2-Slug siRNA) in enhancing CCA radiosensitivity.
- To evaluate the combined effects of rAAV2-Slug siRNA and gamma-irradiation on CCA cell lines and orthotopic tumor models.
Main Methods:
- Downregulation of Slug expression in QBC939 CCA cell lines using rAAV2-Slug siRNA in vitro.
- Evaluation of radiosensitivity in vitro and in vivo using orthotopic CCA models.
- Assessment of PUMA levels following rAAV2-Slug siRNA treatment and irradiation.
Main Results:
- rAAV2-Slug siRNA successfully downregulated Slug expression in CCA cells.
- Combined treatment with rAAV2-Slug siRNA and gamma-irradiation significantly increased PUMA levels.
- Synergistic effect observed, leading to complete regression of orthotopic cholangiocarcinoma tumors.
Conclusions:
- Modulating Slug expression via gene therapy can sensitize cholangiocarcinoma to radiation.
- The combination of rAAV2-Slug siRNA and radiotherapy demonstrates a synergistic effect.
- This combined approach holds promise for improving treatment outcomes and survival in cholangiocarcinoma patients.
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